*** Must Have RN License ***

** Must Be Willing To Do Some Travel in San Antonio and surrounding **

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

Remote-This is a remote position, but would like candidate to reside in the San Antonio/Bexar area with availability to travel surrounding areas (within 2 hours) Most of the member facing meetings will be at the homes of the members within the San Antonio area

Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.

Texas Requirements:

Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing or case management experience in a clinical, acute care, managed care or community setting. 2 years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs. Other state specific requirements may apply.

Licenses/Certifications: Current state’s RN license.